Westlake Oral Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

WESTLAKE ORAL SURGERY

Doing business as

Southlake Oral Surgery

Practice address

311 W Southlake Blvd Ste 150
Southlake, TX 76092-6186

Phone

(817) 424-1166

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

OMS PHYSICIANS GROUP PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bert Cameron Wendling, DDSNPI 1750793956

Title

Owner/Surgeon

Phone

(214) 205-8570

Specialties & licenses 1

Addresses

Other names 1

• Southlake Oral Surgery Doing business as

Part of

Oms Physicians Group PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Oms Physicians Group PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Southlake, TX
  • NPI 1770711392
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bert Cameron Wendling, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Southlake, TX
  • NPI 1750793956
  NPD Authorized official
• Gregory David Taylor, M.D., D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Southlake, TX
  • NPI 1851358956

  Oral & Maxillofacial Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1689430761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W SOUTHLAKE BLVD STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926186",
            "telephone_number": "174-241-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W SOUTHLAKE BLVD STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926186",
            "telephone_number": "817-424-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE ORAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMS PHYSICIANS GROUP PLLC",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "WENDLING",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "214-205-8570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Welch
• Bert Cameron Wendling, DDS
• Kristi Lee West, PA-C
• Lance Westbrook
• Kinlea Westhoff, DC
• Marcus Aaron Whatley, O.D.
• Mikaela Whatley, DPT
• Anna Wheatcraft, OTR
• Victoria Charlene Whitaker
• Camber Eitle White, OTR

• Oral & Maxillofacial Surgery (D.M.D.) in Southlake, TX
• Providers in Southlake, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.